About Carotid Artery Stenting
Key Highlights
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Minimally invasive procedure with no major neck incision required.Typically performed under local anesthesia, reducing risks associated with general anesthesia.Shorter hospital stay and faster recovery compared to open surgery (carotid endarterectomy).Effective in reducing the risk of future stroke in patients with significant carotid artery narrowing.Utilizes cerebral protection devices to minimize the risk of plaque fragments traveling to the brain during the procedure.
Who is this surgery for?
- Symptomatic carotid artery stenosis (narrowing of 70% or more) in patients who have experienced a TIA (transient ischemic attack) or stroke related to that artery.
- Asymptomatic carotid artery stenosis (narrowing of 80% or more) in patients considered high-risk for traditional surgery.
- Patients who are not good candidates for carotid endarterectomy due to anatomical factors (e.g., previous neck surgery/radiation, high lesion location).
- Patients with significant medical comorbidities (like severe heart or lung disease) that increase the risk of open surgery.
- Restenosis (re-narrowing) of a carotid artery after a previous endarterectomy.
How to prepare
- Comprehensive diagnostic tests, including carotid ultrasound, CT angiography, or MR angiography, to precisely map the blockage.
- Pre-procedure blood tests, ECG, and chest X-ray to assess overall health.
- Review and adjustment of current medications; patients may be asked to stop blood thinners like aspirin or clopidogrel a few days before, per doctor's instructions.
- Fasting for 6-8 hours before the procedure, typically after midnight.
- Informed consent process discussing the procedure's benefits, risks, and alternatives.
Risks & possible complications
- Stroke or transient ischemic attack (TIA) during or after the procedure.
- Injury to the artery at the access site (groin/wrist), potentially causing bleeding, hematoma, or pseudoaneurysm.
- Allergic reaction to the contrast dye used during imaging.
- Restenosis (re-narrowing) of the artery over time.
- Stent thrombosis (blood clot formation within the stent).
- Bradycardia (slow heart rate) or hypotension (low blood pressure) during balloon inflation.
- Rarely, hyperperfusion syndrome, causing severe headache or brain hemorrhage due to a sudden increase in blood flow.
Recovery & hospital stay
- Immediate post-procedure monitoring in a recovery area for several hours to check vital signs and the access site.
- Patients are encouraged to drink fluids to help flush the contrast dye from the body.
- The access site (usually groin) must be kept straight for a few hours to prevent bleeding.
- Prescription of dual antiplatelet medications (e.g., aspirin and clopidogrel) for several months to prevent blood clots on the stent.
- Follow-up appointments for clinical assessment and ultrasound scans to monitor stent patency.
- Gradual return to normal activities, avoiding heavy lifting and strenuous exercise for about a week.
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Typical hospital stay: 1-2 days
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Expected recovery time: 1-2 weeks
Frequently Asked Questions
If you are considering carotid artery stenting in India, these questions and answers can help you make a confident, informed decision.
Popular choices for carotid artery stenting in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform carotid artery stenting. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for carotid artery stenting compare across other countries where we have data.
Top hospitals for Carotid Artery Stenting in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing carotid artery stenting.
Navya Ali, a 58-year-old high school...
Navya Ali, a 58-year-old high school principal known for her boundless energy, first noticed a problem when her right hand went numb during a staff meeting. A few weeks later, she experienced a brief episode of slurred speech and left-sided facial drooping that resolved within an hour, a classic transient ischemic attack (TIA). A concerned visit to her GP led to a referral to a neurosurgeon, Dr. Mehta. A carotid ultrasound revealed a 70% blockage in her left internal carotid artery, a major supplier of blood to her brain. Dr. Mehta explained that while a traditional carotid endarterectomy (surgery) was an option, Navya's history of prior neck radiation for thyroid cancer made her a better candidate for the less invasive carotid artery stenting (CAS). The procedure, performed under local anesthesia, involved threading a stent through a small groin incision to her neck to open the narrowed artery. Navya was awake but comfortable, listening to calming music. Post-procedure, she spent one night in the hospital for observation. Recovery was swift; she was back to light administrative work within a week. Emotionally, the TIA shattered her sense of invincibility, filling her with fear of a debilitating stroke. After the successful stenting, while she remains vigilant about medication and check-ups, the overwhelming anxiety has lifted. She feels a profound gratitude for the 'second chance' and has become an advocate for stroke awareness in her community.
Neurosurgeons for Carotid Artery Stenting
Explore experienced neurosurgeons who regularly perform carotid artery stenting and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada